A case of esophageal leiomyoma causing left atrial compression

摘要

A 64-year-old woman was admitted to our clinic with progressive dyspnea (New York Heart Association class III) and fatigue for 3 months. Dysphagia for solids more than for liquids was present for 3 years. Transthoracic echocardiography demonstrated extrinsic left atrial compression and impaired left atrial filling because of the compression (Fig. 1). Esophagoscopy revealed a submucosal mass in the distal esophagus. Computed tomography of the chest (Fig. 2) and magnetic resonance imaging of the mediastinum revealed the extra cardiac mass located in the wall of the distal esophagus, compressing the left atrium. The patient was referred for surgical treatment. Enucleation of the mass was performed by thoracotomy. Histophatology confirmed the diagnosis of leiomyoma. The postoperative evolution was uneventful.